Benign Conditions Of The Vulva And Vagina Flashcards
Ambiguous genitalia can present with what 5 conditions?
Clitoromegaly Clitoral agenesis Bifid clitoris Midline fusion of the labiascrotal folds Cloaca (no separation between vagina and bladder)
What is the clinical abnormal triad of female pseduohermaphroditism?
Clitoromegaly, hypospadiac urethra meatus, and a malpositioned vaginal orifice
What is labia agglutination?
Labial majora are stuck together so treat with estrogen
What is a fox-fordyce disease?
Raised, yellow itchy cyst in the axilla and labia majora and minor from keratin plugged inflammation
What is the most common genital cyst and what is going on with it?
Inclusion cyst that is below the epidermis because the hair follicle has been obstructed
What is characteristic of vulvar varicosities?
Blue color
What are lentigo and nevi?
Freckles and moles
How do we characterize a urethral caruncle?
Small fleshy red outgrowth at the distal edge of urethra
How do we characterize vulvar vestibulitis and what two clinical symptoms does it come with?
Minor vestibular glands become infected
Severe introital sex pain or vulvar pain
How do we characterize sebaceous cysts and what is an indie fitting feature?
Inflammatory blockage of sebaceous glands.
Cheesy sebaceous material on inner surface of labias.
What is the most common benign solid tumor of the vulva?
Fibroma
What are the 5 other tumors of of the vulva besides a fibroma?
Lipoma, hidradenoma, syringoma, neurofibroma, and angioma
What is a hidradenoma and what is a syringoma?
Sweat gland lesion and eccrine gland tumor
What are the three traumatic lesions of the vulva?
Hematoma, circumcision, and obstetric trauma
What is the cause of atrophic vaginitis and how do we treat it?
Loss of estrogen.
Topical estrogen or may consider oral estrogen
Cause of lichen simplex chronicus, major symptom, biopsy shows what, and what is treatment?
Itching/scratching
Itching
Tons of keratin because its a thickening
Steroid ointments
How do we treat lichen sclerosis?
Glucocorticoid.
Untreated lichen sclerosis turns into what?
Squamous cell cancer
How does lichen planus present?
Purple polygonal papules
What is the syndrome lichen planus is involved in and what is it?
Vulvar, vaginal, and gingival syndrome.
Lichen planus is vulva, vagina and mouth
How do we treat lichen planus?
Topical and systemic steroids
Two types of vaginal septum?
Transverse, upper and middle third, and midline
What is the most extreme vaginal anomaly and what syndrome is it part of and why?
Agenesis
Part of the RKHS, which is mullerian agensis, so no uterus as well. You do have distal vagina because of urogenital sinus
What is vaginal adenosis?
Columnar epi persists where Squamous should be
What is the most common vulvovaginal tumor?
Bartholin cyst
Two ways we treat bartholin gland abscess?
Word catheterization and marsupialization
What is the most common cause of vaginal trauma?
Sexual assault
What is the most common malignant vulvar tumor and what is the most common symptom?
SCC.
Chronic itching
What pre lesion is linked to vulvar cancer and what are the two types?
VIN 3 which is CIS
Vin usually, which is HPV 16 associated
Differentiated type, that is not HP, but dermatology associated like lichen sclerosis
2 clinical features of VIN 3?
Itchy is most common symptom
Warty appearance
